Quality of life improvement after chest wall masculinization in female-to-male transgender patients: A prospective study using the BREAST-Q and Body Uneasiness Test
Quality of life improvement after chest wall masculinization in female-to-male transgender patients: A prospective study using the BREAST-Q and Body Uneasiness Test
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DOI：
10.1016/j.bjps.2018.01.003
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发表时间：
2018-05-01
影响因子：
2.7
通讯作者：
Rivera, Andy
中科院分区：
文献类型：
--
作者：
Agarwal, Cori A.;Scheefer, Melody F.;Rivera, Andy
背景：对于许多女变男（FTM）跨性别者来说，胸部重建是治疗性别不安的一个重要组成部分。在现有文献中，很少有纵向研究利用经过验证的调查工具来评估患者报告的围绕该手术的结果。我们研究的目的是前瞻性评估患者在 FTM 胸壁重建后的满意度、身体形象的改善和生活质量。方法：我们的研究对 2015 年 4 月至 2016 年 6 月期间由单一外科医生 (C.A.) 进行胸部重建的 FTM 患者进行前瞻性分析。使用 BREAST-Q 乳房缩小/乳房切除术问卷和身体不安测试 (BUT-A) 对患者进行术前和术后 6 个月的调查。对他们自我报告的人口统计信息、调查结果和图表审查数据进行了分析。结果：在 87 名符合条件的患者中，42 人完成了所有调查，并且可以链接到他们的图表数据。从 BREAST-Q 调查中可以看出，乳房满意度、社会心理健康、性满意度和身体健康方面都有显着改善。从 BUT-A 调查中，我们观察到身体形象、回避、强迫性自我监控和人格解体方面的显着改善。有心理健康问题的群体的初始 BUT-A 分数较差，但手术后改善程度较大。结论：随着性别确认手术的普及以及该领域卫生政策的制定，围绕特定干预措施进行循证研究的必要性至关重要。这项研究表明，接受胸部男性化手术后，FTM 患者的多项生活质量指标均得到显着改善。 (C) 2018 年英国整形、重建和美容外科医生协会。由爱思唯尔有限公司出版。保留所有权利。
Background: Chest reconstruction in many female-to-male (FTM) transgender individuals is an essential element of treatment for their gender dysphoria. In existing literature, there are very few longitudinal studies utilizing validated survey tools to evaluate patient reported outcomes surrounding this surgery. The purpose of our study is to prospectively evaluate patient reported satisfaction, improvement in body image, and quality of life following FTM chest wall reconstruction.Methods: Our study was a prospective analysis of FTM patients who underwent chest reconstruction by a single surgeon (C.A.) between April 2015 and June 2016. The patients were surveyed preoperatively and 6 months after surgery utilizing the BREAST-Q breast reduction/mastectomy questionnaire and the Body Uneasiness Test (BUT-A). Analysis was performed on their self-reported demographic information, survey results, and chart review data.Results: Of 87 eligible patients, 42 completed all surveys and could be linked to their chart data. From the BREAST-Q surveys, significant improvements were observed in the domains of breast satisfaction, psychosocial well-being, sexual satisfaction, and physical well-being. From the BUT-A surveys, we observed significant improvement in body image, avoidance, compulsive self-monitoring, and depersonalization. Groups with mental health conditions had poorer initial BUT-A scores and greater degree of improvement after surgery.Conclusions: As the prevalence of gender affirming surgery increases and as health policies are being developed in this area, the need for evidence-based studies surrounding specific interventions is essential. This study demonstrates significant improvement in a number of quality of life measurements in FTM patients after undergoing chest masculinization surgery. (C) 2018 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.